Individual
JERED PHIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2508 BROAD ST, BELLINGHAM, WA 98225-8315
(515) 979-9144
Mailing address
2508 BROAD ST, BELLINGHAM, WA 98225-8315
(515) 979-9144
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A160488335
WA
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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